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Tuesday, Aug 25 2015

Full Issue

State Highlights: Georgia Pediatricians Form Physician-Led Network; Man With Legionnaires' Files Suit Against Hotel Named As Source Of Outbreak

Health care stories are reported from Georgia, New York, North Carolina, Kansas, Louisiana, Minnesota, California, Iowa, Illinois and Massachusetts.

More than 1,100 Georgia pediatricians have joined a new physician-led network that aims to improve quality of care and eventually contract for payments from insurers. The sign-ups so far represent roughly one-third of the total number of pediatricians practicing in the state. (Miller, 8/24)

A man who came down with Legionnaires鈥 disease and spent several days in a hospital has filed a civil lawsuit against the hotel identified by authorities as the source of the deadly outbreak. Leslie Noble鈥檚 lawsuit against the Opera House Hotel says its 鈥渘egligence, carelessness and recklessness鈥 caused him physical pain and mental anguish. The lawsuit by Noble, a 54-year-old security guard, was filed last week and seeks unspecified damages. (8/24)

The citizens of Yadkin County aren鈥檛 alone in their uncertainty about the future of health care in their community, though with the closure of Yadkin Valley Community Hospital they have more urgent decisions to be made than most. But Yadkin County is only one of of many rural communities across the nation grappling with the question of how to keep their hospitals afloat against a rising current of challenges. Hospitals are cornerstones. Beyond meeting a community鈥檚 medical needs, 鈥淎 hospital is an economic-development tool,鈥 said Yadkin County Manager Lisa Hughes. (Sisk, 8/24)

Following complaints by legislators and case managers, state officials say they are changing how they notify people on Medicaid that they鈥檝e been placed in a 鈥渉ealth home鈥 program to coordinate their care. Mike Randol, director of health care finance for the Kansas Department of Health and Environment, acknowledged complaints from case managers who say they provide months of services to Kansans with mental illness only to find those services aren鈥檛 eligible for reimbursement because those clients have been placed in health homes. (Marso, 8/24)

Five years ago, New Orleans attorney Ermence Parent was struggling to find out what was wrong with her leg. She was 58 years old, and her right leg hurt so much that she needed a cane. That was not only painful, but frustrating for a woman who routinely exercised and enjoyed it. Parent sought advice from several doctors and a chiropractor, but got no diagnosis. (Neighmond, 8/24)

Health centers that serve Kansans who lack insurance or struggle to pay for primary health care are seeing no lack of demand for their services. Rebecca Lewis once was among those Kansans. In 2011, the McPherson woman found herself working three part-time jobs and trying to complete a college degree. As a single mom with three young boys 鈥 then ages 8, 5 and 2 鈥 it was hard to make ends meet. (Thompson, 8/24)

A national right-to-die group convicted of assisting in the 2007 suicide of a Minnesota woman was ordered Monday to pay a $30,000 fine 鈥 the maximum sentence allowed under state law. Final Exit Network Inc. was convicted in May of assisting in the suicide of Doreen Dunn, a 57-year-old Apple Valley woman who took her life after a decade of suffering from chronic pain. In addition to the fine, the group was also ordered to pay nearly $3,000 to Dunn鈥檚 family to cover funeral expenses. (Forliti, 8/24)

Twice already Narseary and Vernal Harris have watched a son die. The first time 鈥 Paul, at age 26 鈥 was agonizing and frenzied, his body tethered to a machine meant to keep him alive as his incurable sickle cell disease progressed. When the same illness ravaged Solomon, at age 33, the Harrises reluctantly turned to hospice in the hope that his last days might somehow be less harrowing than his brother鈥檚. (Varney, 8/25)

Paramedic Jacob Modglin parks on a palm-lined street in Oxnard and jumps out of his ambulance. He is prepared for any kind of emergency. But his patient is standing in the driveway of a one-story house, holding a thermos, and smiling. It's time for his 8 p.m. appointment. Modglin is part of a new cadre of "community paramedics" working in a dozen pilot programs across California. Their jobs are to treat patients before they get sick enough to need emergency care. (Karlamangla, 8/25)

When kids start school this fall, it鈥檚 a sure bet that some won鈥檛 have had their recommended vaccines because their parents have claimed exemptions from school requirements for medical, religious or philosophical reasons. Following the much publicized outbreak of measles that started in Disneyland in California in December, these exemptions have drawn increased scrutiny. (Andrews, 8/25)

More than 40 Republican legislators are requesting that Iowa Attorney General Tom Miller investigate how medical providers in the state handle the donation or sale of fetal tissue obtained in abortions. The lawmakers sent a letter to Miller, a Democrat, dated Monday and containing 10 detailed questions on how "abortion providers (or any affiliates, subsidiaries or associates thereof)" dispose of aborted fetus remains, and whether any of those remains are donated or sold for medical research. (Noble, 8/24)

Gov. Bruce Rauner on Monday sought to rewrite a wide-ranging measure aimed at curbing heroin use, eliminating a requirement that the state's Medicaid health care program for the poor pay for medication and therapy programs to treat addiction. The Republican governor said the state can't afford the extra cost while "facing unprecedented fiscal difficulties." Supporters of the original legislation argued the governor's change creates an unfair system in which those who can afford insurance get help for their addiction while low-income patients end up in an emergency room or a courtroom. (Garcia and Geiger, 8/24)

Employees at Worcester Polytechnic Institute saw something in their paystubs this year that they had not seen in many years: smaller deductions for health insurance. The decline was the result of an initiative that has brought WPI together with 10 other Massachusetts colleges and universities to form their own health insurance company, covering a combined 8,900 employees and their families. The initiative, called Educators Health LLC 鈥 or EdHealth 鈥 allows the schools to bypass commercial insurers by pooling their risk and money, and paying claims from that pool. (Dayal McCluskey, 8/25)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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